Individual
MARLENE J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 W FOOTHILL BLVD, GLENDORA, CA 91741-3327
(626) 931-0495
(626) 931-0495
Mailing address
163 N DALTON AVE, AZUSA, CA 91702-3629
(626) 931-0495
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
9967
CA
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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